ASYMMETRY IN MOUTH OPENING DURING DIFFERENT SPEECH TASKS

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When a normal subject is speaking, the right side of the mouth typically opens more widely or moves over a greater total distance. This asymmetry is most consistent during purely verbal word list generation and verbal recall tasks, less consistent when emotional expression and/or visual imagery is involved, and reversed during smiling. Aphasic patients also show the right bias during word lists, repetition, and conversation, but not during serial speech, singing and smiling. Since observable mouth asymmetry is presumed to result from hemispheric asymmetry in motor control, these observations confirm the major role of a left hemisphere control system for pure verbal expression and provide evidence for involvement of the right hemisphere in mouth motor control during emotional and prosodic expression or visual imagery. Therapeutic possibilities are also suggested.